A nurse is preparing to perform a fundal massage for a postpartum client who is experiencing uterine atony. In which order should the nurse plan to perform the following actions?

Ask the client to lie on her back and with her knees ﬂexed.

Position one hand around the top of the client's fundus and one hand just above the client's symphysis pubis.

Rotate the upper hand to massage the client's uterus while using slight downward pressure to compress the fundus.

Observe the client's perineum for the passage of clots and the amount of bleeding.

Answer and Explanation

The Correct Answer is A, B, C, D

The correct answer is A, B, C, D.

The nurse should plan to perform the following actions in this order:
A.   Ask the client to lie on her back and with her knees ﬂexed.
B.   Position one hand around the top of the client’s fundus and one hand just above the client’s symphysis pubis.
C.   Rotate the upper hand to massage the client’s uterus while using slight downward pressure to compress the fundus.
D.   Observe the client’s perineum for the passage of clots and the amount of
bleeding.
Fundal massage is performed to stimulate uterine contractions and prevent
postpartum hemorrhage.

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Correct Answer is B

Explanation

Chorionic villus sampling (CVS) is a prenatal test that involves taking a sample of tissue from the placenta to test for chromosomal abnormalities and certain other genetic problems.
As with all types of surgical procedures, infections can happen during or after CVS2.

Choice A is incorrect because anemia is not a known complication of CVS.
Choice C is incorrect because late decelerations are a type of fetal heart rate patern that can occur during labor and are not related to CVS.
Choice D is incorrect because placental insufficiency is a condition where the placenta is unable to provide enough oxygen and nutrients to the fetus and is not a known complication of CVS.

A. "I will receive a series of three immunizations and each one will be a month apart.” B. "I will report joint pain that develops after the immunization to my provider immediately.” C. "I should avoid becoming pregnant for at least 1 month following the immunization.” D. "I should avoid breastfeeding for 2 weeks following the immunization.”

Correct Answer is C

Explanation

Rubella vaccine is a live atenuated vaccine and women should avoid pregnancy for at least 28 days after receiving the vaccine.

Choice A is incorrect because the rubella vaccine is given as a single dose, not a series of three immunizations.
Choice B is incorrect because joint pain is a common side eﬀect of the rubella vaccine and does not need to be reported immediately to the provider.
Choice D is incorrect because breastfeeding is not contraindicated following rubella immunization.

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A nurse is preparing to perform a fundal massage for a postpartum client who is experiencing uterine atony. In which order should the nurse plan to perform the following actions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client following a chorionic villus sampling. The nurse should recognize that the client is at risk for developing which of the following complications?

Correct Answer is B

Explanation

A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization. Which of the following client statements indicates understanding of the teaching?

Correct Answer is C

Explanation

A nurse is preparing to perform a fundal massage for a postpartum client who is experiencing uterine atony. In which order should the nurse plan to perform the following actions?

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